Tx Planning Flashcards

1
Q

anterior restorations for primary teeth

A
  1. intracoronal restorations (fillings)
  2. extracoronal or full-coverage restorations (crowns)
  3. ext
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2
Q

indications for “scoop and fill”

A

when traditional prep and restoration not feasible…

  1. very young
  2. uncooperative
  3. caries control
  4. erupting molars with isolation challenge
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3
Q

what material should be used for “scoop and fill”?

A

RMGI

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4
Q

indications for full-coverage restorations

A
  1. multi-surface lesions
  2. incisal edge involved
  3. cervical decalcification
  4. pulp therapy indicated
  5. caries minor but hygiene poor
  6. behavior affects moisture control
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5
Q

easy strip crowns

A
  1. space b/w teeth
  2. overjet
  3. fractured teeth
  4. no pulp involvement
  5. cooperative pt
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6
Q

hard strip crowns

A
  1. closed contacts
  2. crowding
  3. no overjet/anterior X-bite
  4. no tooth structure left
  5. pulpally involved
  6. uncooperative pt
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7
Q

posterior restorations for primary teeth

A
  1. intracoronal restoration (Class I & II)
  2. extracoronal or full-coverage restorations (SSCs)
  3. extraction
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8
Q

what material should be used to restore class I?

A

composite or RMGI

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9
Q

what should be done after restoring class I lesion?

A

seal over restoration and unprepared grooves

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10
Q

what material should be used to restore class II?

A

composite or RMGI

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11
Q

preparation for class II lesion

A

“box-only”

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12
Q

indications for restoring class II lesion

A
  1. small interproximal lesions
  2. 2-surface only (No MODs)
  3. ability to maintain ideal prep
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13
Q

contraindications for restoring class II lesion

A
  1. can’t maintain ideal class II (do SSC instead)
  2. tooth won’t exfoliate for >2-3 years (do SSC instead)
  3. mesial lesion on primary 1st molars
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14
Q

indications for SSC

A
  1. large carious lesions
  2. pulpotomy or pulpectomy required
  3. multiple interproximal lesions
  4. cusp/marginal ridge involvement
  5. developmental defects
  6. single-surface interproximals on young children and/or at high risk
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15
Q

pulpotomy

A

remove coronal portion of pulp only

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16
Q

T/F: pulpotomy is performed on NON-VITAL teeth

A

false, vital

17
Q

pulpectomy

A

remove entire pulp

18
Q

T/F: pulpectomy is performed on VITAL tooth

A

false, non-vital

19
Q

when is space maintenance not necessary?

A

for primary 1st molars when 6s fully erupted

20
Q

is space maintenance necessary for anterior teeth?

A

no

21
Q

T/F: as lower lingual holding arch should be placed BEFORE permanent incisors erupt

A

false, don’t

22
Q

exfoliation of maxillary central incisor

A

7-8 yr

23
Q

exfoliation of mandibular central incisor

A

6-7 yr

24
Q

exfoliation of maxillary lateral incisor

A

8-9 yr

25
Q

exfoliation of mandibular lateral incisor

A

7-8 yr

26
Q

exfoliation of maxillary canines

A

11-12 yr

27
Q

exfoliation of mandibular canines

A

9-11 yr

28
Q

exfoliation of maxillary 1st molars

A

9-11 yr

29
Q

exfoliation of mandibular 1st molars

A

10-12 yr

30
Q

exfoliation of maxillary 2nd molars

A

9-12 yr

31
Q

exfoliation of mandibular 2nd molars

A

11-13 yr

32
Q

T/F: the younger the child, the higher the risk, the worse the behavior thus the more aggressive the tx

A

true

33
Q

T/F: our goal is to tx primary tooth ONCE in its lifetime

A

true